Patient
1A: Sex: Female Age: More than 50 years old
|
Clinical
Findings and Data (With
2 physical exams within 30min) |
Primary
Clinical Diagnosis (Tick one only) |
Secondary
Clinical Diagnosis (Tick one only) |
Degree
of Certainty of Clin. Diagnosis (Tick one only) |
Ancillary
Diagnostic Procedure (Tick one only) |
|
RLQ
PAIN AND TENDERNESS Onset:
<7 days Started in and confined to
RLQ Direct RLQ tenderness, NO rebound, NO guarding No
bowel movement disturbance No
urinary disturbance No
other associated symptoms/signs |
( ) Appendicitis ( ) Urinary tract infection ( ) Ureteral stone ( ) Gastroenteritis ( ) Nonspecific RLQ pain/tenderness ( ) Others: _____________________________ |
( ) Appendicitis ( ) Urinary tract infection ( ) Ureteral stone ( ) Gastroenteritis ( ) Nonspecific RLQ pain/tenderness ( ) Others: |